Individual provider Active NPI

Nicole Jean Gigliotti, MS, LCDP, QMHP

  • Addiction (Substance Use Disorder) Counselor
  • North Kingstown, RI
National Provider Identifier
1417547720
Registry record updated Feb 28, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
CDP00835 Issued in RI
Practice address
1130 Ten Rod Rd Ste F207C
North Kingstown, RI 02852-4172
Phone
(401) 405-1839
NPI assigned
Jan 20, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 28, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X
Professional Counselor 101YP2500X
Addiction (Substance Use Disorder) Counselor 101YA0400X CDP00835 RI Primary

Addresses

Primary practice location

1130 Ten Rod Rd Ste F207C
North Kingstown, RI 02852-4172

Mailing address

16 Homeland St
Johnston, RI 02919-5111
Phone (401) 256-8467

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
CDP00835RIMDAddiction (Substance Use Disorder) Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Nicole Gigliotti, LLC CurrentSince Mar 6, 2022 Accepting new patients

Locations

1130 Ten Rod Rd
Ste F207C
North Kingstown, RI 02852
Phone (401) 405-1839

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1611100800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646006400000",
    "number": "1417547720",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16 HOMELAND ST",
            "city": "JOHNSTON",
            "state": "RI",
            "postal_code": "029195111",
            "telephone_number": "401-256-8467"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1130 TEN ROD RD STE F207C",
            "city": "NORTH KINGSTOWN",
            "state": "RI",
            "postal_code": "028524172",
            "telephone_number": "401-405-1839"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GIGLIOTTI",
        "first_name": "NICOLE",
        "middle_name": "JEAN",
        "name_prefix": "Ms.",
        "credential": "MS, LCDP, QMHP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-01-20",
        "last_updated": "2022-02-28",
        "certification_date": "2022-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "RI",
            "license": "CDP00835",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Kingstown, RI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.